How to eradicate vulvar itching in the elderly

Vulvar itching in the elderly can be eradicated by keeping it clean and dry, medication, physical therapy, traditional Chinese medicine conditioning, and surgical treatment.

1. Keep clean and dry

Wash your vulva with warm water every day and avoid using harsh lotions such as soap. Choose breathable cotton underwear and avoid tight pants. Wipe from front to back after using the toilet to prevent intestinal bacterial contamination. Keeping the vulva dry can reduce the environment for microbial breeding. It is recommended to gently pat dry after each wash.

2. Drug treatment

Clotrimazole cream can be used for fungal infections, erythromycin ointment can be used for bacterial infections, and hydrocortisone cream can be used for allergic reactions. Atrophic vaginitis requires estrogen ointment. The cause of the disease needs to be clarified before using the drug, and it is recommended to seek medical treatment for secretion examination. Long-term use of hormonal drugs requires a controlled course of treatment as directed by your doctor.

3. Physical therapy

Ultraviolet irradiation can improve local blood circulation, and infrared treatment can alleviate inflammatory reactions. Low-temperature plasma technology is suitable for stubborn itching, and photodynamic therapy is effective for certain skin diseases. Physical therapy needs to be carried out in professional medical institutions, and generally 10-15 times is a course of treatment.

4. Traditional Chinese Medicine Conditioning

For liver and kidney yin deficiency type, Zhibai Dihuang Pills can be used, while for damp-heat type, Longdan Xiegan Decoction is suitable. For external washing, you can use decoctions such as Sophora flavescens and Cnidium monnieri to fumigate and wash. For acupuncture, acupuncture points such as Sanyinjiao and Xuehai are selected. TCM treatment requires syndrome differentiation and treatment, and it is recommended that a professional TCM physician diagnose and administer medication.

5. Surgical treatment

Laser treatment can be considered for stubborn cases of vulvar leukoplakia, while severe proliferative lesions require surgical resection. Malignant tumors need to be ruled out before surgery, and infections need to be prevented after surgery. Surgery is suitable for special cases where other treatments are ineffective, and the indications need to be strictly evaluated.

Elderly patients with vulvar pruritus should avoid spicy and irritating foods and supplement vitamin B in an appropriate amount. Choose loose-fitting cotton clothing and avoid sitting still for long periods of time. Maintain a regular schedule and control underlying diseases such as diabetes. Do not scratch hard when itching occurs. Cold compress can relieve it. It is recommended to have a gynecological examination every year and seek medical attention promptly if any problems are found. Pay attention to the changes in secretion properties and record the pattern of itching attacks for the doctor's reference.